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Departments of
*
Pathophysiology and Immunology,
Rehabilitation, and
Connective Tissue Disease, Institute of Rheumatology, Warsaw, Poland
Recent data suggest that IL-15 plays an important role in the
pathogenesis of rheumatoid arthritis. In the present study, we
hypothesized that elevated in the joints of rheumatoid arthritis, but
not osteoarthritis, patients, IL-15 may exert its proinflammatory
properties via the induction of IL-17, a cytokine known to stimulate
synoviocytes to release several mediators of inflammation including
IL-6, IL-8, GM-CSF and PGE2. To test this hypothesis, we
first measured the levels of IL-17 and IL-15 using specific ELISA and
found that synovial fluids of patients with rheumatoid arthritis, but
not with osteoarthritis, contain high levels of these cytokines. A
strong correlation between IL-15 and IL-17 levels in synovial fluids
was observed. Among tested factors, LPS and TNF-
failed, IL-15 and
IL-2 were equipotent, and PMA + ionomycin was far more efficient in the
induction of IL-17 secretion by PBMCs isolated from healthy blood
donors. Interestingly, synovial fluid cells, in contrast to PBMCs
isolated from patients with rheumatoid arthritis, but not
osteoarthritis, respond to PMA + ionomycin with much lower, comparable
to IL-15-triggered IL-17 secretion. Moreover, PMA + ionomycin-triggered
IL-17 secretion is completely or partially blocked in the presence of
low doses of cyclosporin A or high doses of methylprednisolone,
respectively. IL-15-triggered IL-17 secretion by PBMCs was completely
inhibited by these drugs. Thus, our results suggest for the first time
that IL-15 may represent a physiological trigger that via cyclosporin A
and steroid sensitive pathways leads to the overproduction of IL-17 in
the joints of rheumatoid arthritis patients.
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